{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:32:44Z","timestamp":1790901164108,"version":"4.1.0"},"reference-count":59,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To perform a Markov model\u2013based cost\u2010effectiveness analysis comparing arthroscopic Bankart repair (ABR) to open Latarjet for first\u2010time shoulder dislocations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A Markov chain Monte Carlo probabilistic model was developed to evaluate the outcomes and costs of 1,000 simulated patients undergoing ABR versus open Latarjet. A 20\u2010year\u2010old man presenting with a first\u2010time shoulder dislocation with &lt;10% glenoid bone loss serves as the base case for our model. Health utility values, transition probabilities, and costs were derived from the literature. Outcome measures included costs, quality\u2010adjusted life years (QALYs), and the incremental cost\u2010effectiveness ratio. Ten\u2010year costs for each patient in the microsimulation model were averaged by initial treatment strategy to capture the costs of any subsequent treatments patients underwent. Cycle length was defined as 1 year, with all costs and utilities discounted at 3% annually.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over the 10\u2010year time horizon, mean total costs resulting from ABR and open Latarjet were $35,463 \u00b1 $6,377 and $32,593 \u00b1 $5,742, respectively. On average, ABR was associated with 6.8 \u00b1 0.5 QALYs, while open Latarjet was associated with 7.9 \u00b1 0.5 QALYs. Overall, open Latarjet was determined as the preferred cost\u2010effective strategy in 99.9% of patients included in the microsimulation model, with ABR predicted to be preferred in 0.1% of patients. Deterministic sensitivity analysis found that the recurrence risk associated with ABR would need to be less than 4.3% for ABR to be more cost\u2010effective than the Latarjet procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The open Latarjet was shown to be the dominant, cost\u2010effective treatment strategy for first\u2010time shoulder dislocations based on the Monte Carlo microsimulation and probabilistic sensitivity analysis. Historical data reporting higher risks of redislocation following ABR created increased downstream costs in the model that exceeded those of open Latarjet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, economic and decision analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.04.053","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T02:58:57Z","timestamp":1746586737000},"page":"4419-4428","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Open Latarjet Is More Cost\u2010Effective Than Arthroscopic Bankart Repair for First\u2010Time Shoulder Dislocations in Male Patients With &lt;10% Glenoid Bone Loss"],"prefix":"10.1002","volume":"41","author":[{"given":"Eoghan T.","family":"Hurley","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex M.","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel G.","family":"Lorentz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob F.","family":"Oeding","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Institute of Clinical Sciences The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Glover","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Pasqualini","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano A.","family":"Rossi","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannan","family":"Mullett","sequence":"additional","affiliation":[{"name":"UPMC Sports Surgery Clinic Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan F.","family":"Dickens","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University Durham North Carolina 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